Assessment Practice Q's

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    You blindfold your pt and hold an orange under their nose. You ask them to identify the smell which they correctly do. Which cranial nerve have you just tested?

    • CN 1 (Olfactory)
    • CN 7 (Facial)
    • CN 11 (Spinal Accessory)
    • CN 4 (Trochlear)
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Assessment Practice Q
About This Quiz

A review of cardiac, neurological, and musculoskeletal assessment for Master's Level Assessment class.

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  • 2. 

    What is the ideal blood pressure?

    • 104/22

    • 118/78

    • 138/ 98

    • Whatever each individual patient can tolerate

    Correct Answer
    A. 118/78
  • 3. 

    You are sitting in your apartment with your best friend, when your friend excuses herself to go to the bathroom. You hear her grunting and straining to have a BM and then you hear a thump. You run to the bathroom and find your friend momentarily disoriented on the bathroom floor. Thinking back to assessment class you realize which cranial nerve has likely been stimulated?

    • CN 10 (Vagus)

    • CN 12 (Hypoglossal)

    • CN 8 (Vestibulocochlear)

    • Who cares?! You need to go and get your camera NOW. This is soooo going on myspace.

    Correct Answer
    A. CN 10 (Vagus)
  • 4. 

    Which cranial nerve is responsible for smell?

    • CN 1 (Olfactory)

    • CN 7 (facial)

    • CN 8 (Vestibulocochlear)

    • CN 2 (Optic)

    Correct Answer
    A. CN 1 (Olfactory)
  • 5. 

    Which cranial nerve is responsible for slowing heart rate, stimulating digetive organs, sensing aortic BP?

    • CN 4 (trochlear)

    • CN 10 (Vagus)

    • CN 6 (abducens)

    • CN 11 (accessory)

    Correct Answer
    A. CN 10 (Vagus)
  • 6. 

    Which cranial nerve is responsible for vision?

    • CN 3 (Oculomotor)

    • CN 2 (Optic)

    • CN 8 (Vestibulocochlear)

    • CN 1 (Olfactory)

    Correct Answer
    A. CN 2 (Optic)
  • 7. 

    Which of the following is an S shaped curvature of the spine?

    • Scoliosis

    • List

    • Kyphosis

    • Lordosis

    Correct Answer
    A. Scoliosis
  • 8. 

    Is S1 associated with systole or diastole?

    • Systole

    • Diastole

    Correct Answer
    A. Systole
  • 9. 

    Which cranial nerve is responsible for hearing & sense of balance (equilibrium)?

    • CN 11 (Spinal Accessory)

    • CN 8 (Vestibulocochlear)

    • CN 4 (Trochlear)

    • CN 10 (vagus)

    Correct Answer
    A. CN 8 (Vestibulocochlear)
  • 10. 

    Which of the following is a systemic autoimmune disease that occurs when the body's own immune system mistakenly attacks the synovium (cell lining inside the joint) and effects all joints?

    • Gout Arthritis

    • Rheumatoid Arthritis

    • Osteoarthritis

    • Kyphosis

    Correct Answer
    A. Rheumatoid Arthritis
  • 11. 

    Which of the following is associated with deposits of sodium urate crystals?

    • Rheumatoid arthritis

    • Scoliosis

    • Osteoarthritis

    • Gout Arthritis

    Correct Answer
    A. Gout Arthritis
  • 12. 

    What is the difference between tremors at rest and tremors with intention ( i.e tremors when performing a task) ?

    • Tremors at rest are a symptom of Parkinsons, Tremors of intention indicate a cerebellar disorder

    • Both may be indicative of Cerebellar Hypotonia

    • Tremors at rest indicate a cerebellar disorder while tremors of intention are symptoms of Parkinsons.

    • Both are normal changes associated with aging.

    Correct Answer
    A. Tremors at rest are a symptom of Parkinsons, Tremors of intention indicate a cerebellar disorder
  • 13. 

    Which of the following is a lumbar concavity that is accentuated by pregnancy of obesity?

    • Scoliosis

    • List

    • Lordosis

    • Kyphosis

    Correct Answer
    A. Lordosis
  • 14. 

    A 68-year-old retired kindergarten teacher presents to your office for evaluation of swelling in her right arm. On questioning her further, you discover that she has had a recent mastectomy for right-sided ductal carcinoma in situ. What is you most likely diagnosis?

    • Orthostatic edema

    • Lymphedema

    • Lipedema

    • Chronic venous insufficiency

    Correct Answer
    A. Lymphedema
  • 15. 

    Define Orientation

    • Awareness of who or what the person is in relation to time, place, and people

    • Ability to retain information over an interval of minutes, hours, or days

    • Ability to retain information over an Interval of years

    • Ability to focus or concentrate over time on one task or activity

    • Alertness and state of awareness of the environment

    Correct Answer
    A. Awareness of who or what the person is in relation to time, place, and people
  • 16. 

    A 25-year-old housewife presents to the urgent care clinic for evaluation of paralysis in her face.  She has a history of an upper respiratory 2 weeks before the onset of these symptoms.  She states that her face is drooping and that she is unable to close her eye.  On physical examination, you note that her forehead is smooth on the right side, her palpebral fissure appears widened, and her nasolabial fold appears flattened and she is drooling.  Based on this information, what is the most likely diagnosis?

    • Cortical stroke

    • Bell’s palsy

    • Horner’s syndrome

    • Stress reaction

    Correct Answer
    A. Bell’s palsy
  • 17. 

    What is the Romberg test assessing?

    • The ability to recognize an onjebt placed into a patients hand without looking at it.

    • When wrist held in forced flexion for 1 minute there will be tingling in median nerve if pt has carpal tunnel syndrome.

    • The patients ability to balance when their eyes are closed.

    • Deep tendon reflexes

    Correct Answer
    A. The patients ability to balance when their eyes are closed.
  • 18. 

    An 80 year old woman presents to your clinic for evaluation of palpations and shortness of breath.  You obtain an electrocardiogram, which reveals an irregularly irregular rhythm without discrete p waves.  You diagnosis her with atrial fibrillation.  The most likely physical finding upon auscultation of her heart is

    • An irregulary irregular rhythm

    • A rapid regular rhythm

    • A midsystolic click

    • Bigeminy

    Correct Answer
    A. An irregulary irregular rhythm
  • 19. 

    Which of the following descriptions best describes a GRADE 1 murmur?

    • Loud; may be associated with a thrill

    • Very faint

    • May be heard when the stethoscope is entirely off the chest

    Correct Answer
    A. Very faint
  • 20. 

    What kind of edema would you see with Right sided heart failure?

    • Dependent edema; sacral edema when patient is supine; may see increased JVD, enlarged liver, enlarged heart;

    • Edema in the loose subcutaneous tissues of the eyelids; may also appear in the feet and legs

    • Localized edema; involves one or both legs

    • Edema of the dependent areas; no cardiac or hepatic signs

    Correct Answer
    A. Dependent edema; sacral edema when patient is supine; may see increased JVD, enlarged liver, enlarged heart;
  • 21. 

    What tests would you perform to check for Carpal Tunnel Syndrome?

    • Tinnel's Sign & Phelan's Test

    • Kernig's Sign & Brudzinskis Test

    • Romberg Test & Proprioception Test

    • Gouty test & Green test

    Correct Answer
    A. Tinnel's Sign & Phelan's Test
  • 22. 

    When auscultating your pts heart you hear a blowing, "shshing" sound. What is this? 

    • Murmur

    • S3

    • S4

    • Thrill

    Correct Answer
    A. Murmur
  • 23. 

    While doing a neuro assessment you ask your patient to smile, puff their cheeks, and raise their eyebrows. Which cranial nerve are you testing?

    • CN 3 (Oculomotor)

    • CN 5 (Trigeminal)

    • CN 7 (Facial)

    • CN 9 (Glossopharyngeal)

    Correct Answer
    A. CN 7 (Facial)
  • 24. 

    Is S2 associated with systole of diastole?

    • Systole

    • Diastole

    Correct Answer
    A. Diastole
  • 25. 

    A 35-year-old postal worker presents to your office for evaluation of pain in her joints. She states that the pain is worse in her fingers and wrists; both hands are affected. She notices that it takes her longer than 1 hour to get moving in the morning because she is so stiff. For the past few weeks, she has been having fevers, some as high as 100.5℉. You notice that she has fusiform swelling in her fingers and wrists bilaterally and that the PIP and MCP joints are tender to palpation. Based on the history and physical examination findings, what is your most likely diagnosis?

    • Osteoarthritis

    • Rheumatoid arthritis

    • Gouty arthritis

    • Ankylosing spondylitis

    Correct Answer
    A. Rheumatoid arthritis
  • 26. 

    You are assessing a 4 month old baby in the ER. You stroke the bottom of the babies foot and see the toes fan out. Is this normal?

    • No, this is a positive babinski's and may indicate the child has been shaken and sustained a brain injury.

    • No, this is Kernig's sign and may be indicative of meningitis.

    • Yes, This reflex is normal in children under 1 yr of age.

    • No, this is a positive Phelan's test and indicates the baby may have hypotonia.

    Correct Answer
    A. Yes, This reflex is normal in children under 1 yr of age.
  • 27. 

    Which of the following is an exagerrated curvature of the posterior spine (Humpback)?

    • Scoliosis

    • Kyphosis

    • List

    • Lordosis

    Correct Answer
    A. Kyphosis
  • 28. 

    When asking your patient to shrug their shoulders and turn their head side-to-side which cranial nerve are you assessing?

    • CN 10 (Vagus)

    • CN 11 (Spinal Accessory)

    • CN 6 (Abducens)

    • CN 12 (Hypoglossal)

    Correct Answer
    A. CN 11 (Spinal Accessory)
  • 29. 

    When applying a painful stimulus to an unconscious patient you notice that the pt bends their arms inward toward the chest with wrists bent and fingers clenched. Their legs are extended and rigid. What is this known as?

    • Babinski's sign

    • Decorticate response

    • Appropriate response

    • Decerebrate response

    Correct Answer
    A. Decorticate response
  • 30. 

    Deep tendon reflexes are assessing what?

    • Spinal Cord reflexes

    • Brain stem reflexes

    • Speed of cerebellar processing

    • Yo momma

    Correct Answer
    A. Spinal Cord reflexes
  • 31. 

    A 23-year-old fast food worker presents to your office for evaluation of pain in his feet, especially the heels. He notes that the pain is most intense when he first awakens, then eases up somewhat after walking for a few minutes. By the end of the day, the pain has returned again to its full intensity. He has tried OTC analgesics without success. He denies fever, chills, trauma, or injury to his feet. On physical examination, he has tenderness upon palpation of the plantar fascia. There are no deformities or joint swelling. What is your most likely diagnosis?

    • Ankle sprain

    • Heel spur

    • Plantar fasciitis

    • Gout

    Correct Answer
    A. Plantar fasciitis
  • 32. 

    You are auscultating your patients carotid artery and ask the patient to hold their breath. Why do you do this?

    • Just for fun.

    • So you can better feel the thrill

    • To assess their ability to follow commands

    • So you do not confuse their breath sounds for a bruit

    Correct Answer
    A. So you do not confuse their breath sounds for a bruit
  • 33. 

    A 75-year-old retired short-order cook presents to the office for evaluation of weakness.  He has a history of hypertension; he stopped taking his medication a few months ago because he couldn’t tell that it was making a difference and it was too expensive.  On physical examination, his blood pressure is 220/110 mmHg.  He has deviation of the tongue to the left side.  Which cranial nerve would have to be affected for this finding to be present?

    • CN I (olfactory)

    • CN V (trigeminal)

    • CN VII (facial)

    • CN XII (hypoglossal)

    Correct Answer
    A. CN XII (hypoglossal)
  • 34. 

    You are assessing Mr. Wink's legs and find them to be cool to the touch and pale. He complains of intermittent pain the legs and he has no hair growing on either leg. What is causing this?

    • DVT

    • Arterial Insufficiency

    • Kidney Failure

    • Venous Insufficiency

    Correct Answer
    A. Arterial Insufficiency
  • 35. 

    Define Recent Memory.

    • Awareness of who or what the person is in relation to time, place, and people

    • Ability to retain information over an interval of minutes, hours, or days

    • Ability to retain information over an Interval of years

    • Ability to focus or concentrate over time on one task or activity

    • Alertness and state of awareness of the environment

    Correct Answer
    A. Ability to retain information over an interval of minutes, hours, or days
  • 36. 

    Which cranial nerve is responsible for facial movement, facial expressions,& secretion of tears and saliva?

    • CN 5 (trigeminal)

    • CN 8 (vestibulocochlear)

    • CN 3 (Oculomotor)

    • CN 7 (Facial)

    Correct Answer
    A. CN 7 (Facial)
  • 37. 
    In the picture above. which lobe of the brain is pictured in green? - ProProfs

    In the picture above. which lobe of the brain is pictured in green?

    • Frontal

    • Parietal

    • Temporal

    • Occipital

    Correct Answer
    A. Temporal
  • 38. 

    Which grade of murmur is barely audible?

    • 6

    • 4

    • 3

    • 1

    Correct Answer
    A. 1
  • 39. 

    A 29-year-old sales representative for a pharmaceutical company presents to your office for evaluation of pain in her jaw. The pain has been present daily for the past 2 weeks. She denies any history of trauma or injury. Her medical history is unremarkable. She is able to eat without difficulty but hears a clicking sound from her jaw. She denies fever or chills. On physical examination, you palpate the temporomandibular joint and ask the patient to open her mouth. You feel crepitus when she opens and closes the jaw. Based on this information, what is your most likely diagnosis?

    • Mandible fracture

    • Pterygoid weakness

    • Osteomyelitis

    • Temporomandibular joint dysfunction

    Correct Answer
    A. Temporomandibular joint dysfunction
  • 40. 

    A 13-year-old junior high school student is brought into your office by her mother for evaluation of unequal shoulder height. Her mother first noticed this problem 2 weeks ago. There is no history of birth trauma or recent injury. On physical examination, there is a lateral curvature to the spine. The curvature is more pronounced with forward flexion. Based on this information, what is your most likely diagnosis?

    • Normal spinal curvature

    • Kyphosis

    • Scoliosis

    • Lumbar lordosis

    Correct Answer
    A. Scoliosis
  • 41. 

    An 18-year-old college football player comes to your office after sustaining an injury on the field. He states that he planted his foot and had to pivot to catch the ball. He heard a “pop,” and his right knee gave way and started to swell. The trainer iced it down. On physical examination, you note increased swelling and tenderness over the right knee. He has significant forward excursion when you perform the Lachman test. He also has more movement of the right tibia when you draw it forward when compared with the left. Based on this information, what is your most likely diagnosis?

    • Posterior cruciate ligament tear

    • Anterior cruciate ligament tear

    • Meniscus tear

    • Patellar tear

    Correct Answer
    A. Anterior cruciate ligament tear
  • 42. 

    What could you ask a patient to do to accentuate the findings of a mitral valve prolapsed?

    • Perform a Valsalva maneuver

    • Squat

    • Hop on one foot

    • Kneel

    Correct Answer
    A. Perform a Valsalva maneuver
  • 43. 

    A 55-year-old construction worker presents for evaluation of swelling in his feet. He has smoked 2 packs of cigarettes daily since the age of 15. He has noticed pain in both legs when walking, which is relieved with resting for 10 minutes. On physical examination, his dorsalis pedis pulses are decreased bilaterally in comparison with his femoral pulses. His feet are cool to the touch when compared with his upper legs. He has no pedal edema. What is your most likely diagnosis?

    • Deep vein thrombosis

    • Arterial insufficiency

    • Venous insufficiency

    • Peripheral neuropathy

    Correct Answer
    A. Arterial insufficiency
  • 44. 

    Which cranial nerve is responsible for pharyngeal movement, taste, sensing carotid BP,  sensation on posterior tongue and pharynx?

    • CN 7 (facial)

    • CN 12 (Hypoglossal)

    • CN 9 (glossopharyngeal)

    • CN 1 (Olfactory)

    Correct Answer
    A. CN 9 (glossopharyngeal)
  • 45. 

    Which of the following descriptions best describes a GRADE 4 murmur?

    • Loud; may be associated with a thrill

    • Very faint

    • May be heard when the stethoscope is entirely off the chest

    Correct Answer
    A. Loud; may be associated with a thrill
  • 46. 

    A 27-year-old software specialist presents to your office for evaluation of numbness and pain in his fingers. He has noticed that the numbness increases as the day goes on; at first he noticed it only at the end of the day, but now it is present upon awakening. It is present in both his hands. The pain started several months ago and is not relieved by OTC analgesics. The patient’s family history is significant for HTN and cerebrovascular disease. On physical examination, his BP is 110/70 mmHg and his thenar eminence is atrophic. Which tests would you perform to confirm your initial hypothesis of carpal tunnel syndrome

    • Tinel’s test

    • Anterior drawer test

    • McMurray’s test

    • Allen test

    Correct Answer
    A. Tinel’s test
  • 47. 

    Which of the following is NOT a way to test your patients coordination/balance during a neuro assessment?

    • Romberg test

    • Phelan's test

    • Finger to nose test.

    • Asking pt to perform rapid pronation/supination of hands.

    Correct Answer
    A. Phelan's test
  • 48. 

    Which of the following is caused by stretching or contraction beyond muscle capability & repetitive motion?

    • Sprain

    • Fracture

    • Strain

    • Dislocation

    Correct Answer
    A. Strain
  • 49. 

    A 50-year-old physician presents for evaluation of pain in his right shoulder. The pain has been intermittent for the past 20 years, but over the past 3 weeks, it has been present daily. He has tried OTC analgesics, but they do not relieve the symptoms. 5 years ago, he fell on the icy pavement and landed on his shoulder. You perform a physical examination maneuver, because you suspect a rotator cuff tear. What is the name of this test?

    • Drop arm test

    • McMurray’s test

    • Anterior drawer test

    • Tinel’s test

    Correct Answer
    A. Drop arm test

Quiz Review Timeline (Updated): Dec 13, 2012 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Dec 13, 2012
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 13, 2008
    Quiz Created by
    Scottishduffy
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